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Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources
Song, Xueqian1; Wei, Yongping2; Deng, Wei3,4; Zhang, Shaoyao3,4; Zhou, Peng3,4; Liu, Ying3,4; Wan, Jiangjun5
Corresponding AuthorWei, Yongping(yongping.wei@uq.edu.au) ; Deng, Wei(dengwei@imde.ac.cn)
2019-02-02
Source PublicationINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
ISSN1660-4601
Volume16Issue:4Pages:18
AbstractIn China, upper-level healthcare (ULHC) and lower-level healthcare (LLHC) provide different public medical and health services. Only when these two levels of healthcare resources are distributed equally and synergistically can the public's demands for healthcare be met fairly. Despite a number of previous studies having analysed the spatial distribution of healthcare and its determinants, few have evaluated the differences in spatial equity between ULHC and LLHC and investigated their institutional, geographical and socioeconomic influences and spillover effects. This study aims to bridge this gap by analysing panel data on the two levels of healthcare resources in 31 Chinese provinces covering the period 2003-2015 using Moran's I models and dynamic spatial Durbin panel models (DSDMs). The results indicate that, over the study period, although both levels of healthcare resources improved considerably in all regions, spatial disparities were large. The spatio-temporal characteristics of ULHC and LLHC differed, although both levels were relatively low to the north-west of the Hu Huanyong Line. DSDM analysis revealed direct and indirect effects at both short-and long-term scales for both levels of healthcare resources. Meanwhile, the influencing factors had different impacts on the different levels of healthcare resources. In general, long-term effects were greater for ULHC and short-term effects were greater for LLHC. The spillover effects of ULHC were more significant than those of LLHC. More specifically, industrial structure, traffic accessibility, government expenditure and family healthcare expenditure were the main determinants of ULHC, while industrial structure, urbanisation, topography, traffic accessibility, government expenditure and family healthcare expenditure were the main determinants of LLHC. These findings have important implications for policymakers seeking to optimize the availability of the two levels of healthcare resources.
Keywordtwo levels of healthcare resources spatial spillover effects spatial equity dynamic spatial Durbin panel model
DOI10.3390/ijerph16040582
Indexed BySCI
WOS KeywordSPATIAL SPILLOVER ; PANEL-DATA ; FISCAL DECENTRALIZATION ; EXPENDITURE ; PROVISION ; MODEL ; ACCESSIBILITY ; URBANIZATION ; INEQUALITIES ; INVESTMENTS
Language英语
Funding ProjectNational Natural Science Foundation of China[41601141] ; National Natural Science Foundation of China[41471469] ; Science and Technology Service Network Initiative (STS) program[Y8R2020021] ; Presidential Foundation of the Chinese Academy of Sciences, China ; Research Foundation of Chengdu University of Information Technology[J201617] ; Research Foundation of Chengdu University of Information Technology[KYTZ201628]
WOS Research AreaEnvironmental Sciences & Ecology ; Public, Environmental & Occupational Health
WOS SubjectEnvironmental Sciences ; Public, Environmental & Occupational Health
WOS IDWOS:000460804900061
Funding OrganizationNational Natural Science Foundation of China ; Science and Technology Service Network Initiative (STS) program ; Presidential Foundation of the Chinese Academy of Sciences, China ; Research Foundation of Chengdu University of Information Technology
PublisherMDPI
Citation statistics
Cited Times:2[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.imde.ac.cn/handle/131551/25316
Collection山区发展研究中心
Corresponding AuthorWei, Yongping; Deng, Wei
Affiliation1.Chengdu Univ Informat Technol, Sch Management, Chengdu 610225, Sichuan, Peoples R China
2.Univ Queensland, Sch Earth & Environm Sci, Brisbane, Qld 4067, Australia
3.Chinese Acad Sci, Inst Mt Hazards & Environm, Res Ctr Mt Dev, Chengdu 610041, Peoples R China
4.Univ Chinese Acad Sci, Coll Resources & Environm, Beijing 100049, Peoples R China
5.Sichuan Agr Univ, Sch Architecture & Urban Rural Planning, Dept Urban & Rural Planning, Chengdu 610041, Peoples R China
Recommended Citation
GB/T 7714
Song, Xueqian,Wei, Yongping,Deng, Wei,et al. Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources[J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,2019,16(4):18.
APA Song, Xueqian.,Wei, Yongping.,Deng, Wei.,Zhang, Shaoyao.,Zhou, Peng.,...&Wan, Jiangjun.(2019).Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,16(4),18.
MLA Song, Xueqian,et al."Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 16.4(2019):18.
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